Radical Prostatectomy - Retropubic
Steps Involved in IVF:
Procedure Description
A radical retropubic prostatectomy is a surgical procedure aimed at treating prostate cancer by removing the prostate gland. It is a major surgical operation typically recommended for men diagnosed with localized prostate cancer that has not spread to other parts of the body. The retropubic approach specifically involves accessing the prostate through an incision made in the lower abdomen, allowing for direct visualization and careful removal of the prostate gland while preserving surrounding nerves and tissues.
The surgeon makes a vertical incision in the abdomen to reach the prostate gland located beneath the bladder and in front of the rectum. This method allows the surgeon to excise the entire prostate gland, seminal vesicles, and sometimes nearby lymph nodes if cancer has potentially spread to these areas. During the procedure, care is taken to preserve the surrounding nerves responsible for erectile function, which helps to minimize postoperative side effects.
One of the key advantages of the retropubic approach is the direct access it provides to both the prostate and lymph nodes. This enables the surgeon to perform a comprehensive removal and evaluation of cancerous tissues. It is typically performed under general anesthesia, and most patients require a hospital stay of a few days, followed by an extended recovery period at home.
Procedure Duration
The procedure typically lasts around 2-4 hours, depending on the complexity and extent of the cancer. This duration may vary based on the size of the prostate, whether lymph node dissection is required, and the experience of the surgical team. Prior to surgery, patients undergo thorough preoperative assessments to determine their overall health status, anesthesia risks, and the feasibility of the surgery.
Following the surgery, patients are closely monitored in the recovery room for any immediate postoperative complications. A catheter is placed in the bladder to help drain urine, and it usually remains for 1-2 weeks post-surgery. Hospital stays can range from 1-3 days, depending on the individual's recovery and any potential complications that arise.
The recovery process includes managing pain, ensuring the proper healing of the incision site, and monitoring for any side effects such as incontinence or erectile dysfunction. Full recovery may take several weeks to months, during which time patients are advised to avoid heavy lifting, strenuous activities, and driving until cleared by their healthcare provider.
Benefits
- Effective Cancer Treatment: The removal of the entire prostate gland can significantly reduce the risk of cancer spread or recurrence for patients with localized prostate cancer.
- Precise Lymph Node Removal: The retropubic approach allows for better access to lymph nodes, enabling comprehensive removal and biopsy to determine the extent of cancer spread.
- Nerve Preservation Techniques: With the retropubic approach, surgeons have the opportunity to use nerve-sparing techniques to maintain sexual function postoperatively.
- Improved Urinary Function: The procedure aims to preserve or restore urinary continence by careful dissection and reconstruction.
- Single Incision Access: The vertical incision allows for direct access to the prostate, potentially reducing surgical time and improving postoperative recovery compared to some other methods.
Potential Destinations
- Turkey:
Known for its advanced healthcare infrastructure and skilled surgeons, Turkey offers high-quality prostatectomy procedures at competitive prices. Its hospitals are equipped with state-of-the-art facilities, and medical tourists can benefit from comprehensive care, including preoperative assessments and postoperative rehabilitation.
- India:
India has emerged as a popular medical tourism destination for various procedures, including radical prostatectomy. Patients benefit from world-class surgical expertise, cost-effective packages, and advanced medical technology. Many Indian hospitals have international accreditation, ensuring high standards of patient care.
- Thailand:
With its well-established medical tourism industry, Thailand provides high-quality prostate cancer surgeries, including radical retropubic prostatectomy. Renowned for its hospitality and excellent post-surgical care, Thailand's hospitals also offer comprehensive treatment plans that include recovery stays in serene, healing environments.
- Mexico:
For patients from North America, Mexico serves as a convenient and affordable option for radical prostatectomy. Hospitals in major cities are staffed with internationally trained urologists and equipped with modern medical technology, offering a seamless experience for medical tourists seeking quality prostate cancer treatment.
- Germany:
Germany boasts some of the leading medical facilities and specialists in Europe. The country’s healthcare system is known for its precision, advanced surgical techniques, and patient-centered care. Medical tourists can expect cutting-edge treatments, including nerve-sparing techniques for prostate cancer, in well-equipped, internationally accredited hospitals.
Risks & Considerations
- Urinary Incontinence:
Some patients may experience urinary leakage or loss of bladder control postoperatively. Recovery of continence can take several weeks or months, and pelvic floor exercises may be recommended to improve bladder control.
- Erectile Dysfunction:
The nerves responsible for erections are often close to the prostate, and even with nerve-sparing techniques, there is a risk of temporary or permanent erectile dysfunction after surgery.
- Bleeding and Infection:
As with any major surgery, there is a risk of bleeding during the procedure and a potential for infection at the incision site or internally. Proper postoperative care and hygiene are essential to minimize these risks.
- Anesthesia Complications:
Patients undergoing radical retropubic prostatectomy are placed under general anesthesia, which carries its own risks, including allergic reactions, respiratory issues, and cardiovascular complications.
- Lymphedema:
If lymph nodes are removed, there is a potential risk of lymphedema, which is the swelling caused by the accumulation of lymphatic fluid. This can occur in the legs or genital area and may require additional treatment or physical therapy.
How to Choose the Right Doctor and Hospital
When selecting a doctor and hospital for a radical retropubic prostatectomy, it is crucial to consider a few key factors. First, ensure the surgeon is a board-certified urologist with significant experience in performing radical prostatectomies. Experience with the retropubic approach, in particular, is essential, as it requires a thorough understanding of the prostate anatomy and advanced surgical skills. Additionally, inquire about the surgeon's track record, including success rates, postoperative complication rates, and patient satisfaction.
In terms of hospital selection, look for facilities that have comprehensive urology departments and access to advanced diagnostic and surgical equipment. International accreditation, such as from reputable healthcare accreditation organizations, indicates that the hospital meets high standards for patient care and safety. Evaluating the hospital's postoperative care programs, including rehabilitation services and support for recovery, can also help ensure a smooth and effective treatment experience.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
Orthopedics Stem Cell
Knee
Research on mesenchymal stem cells regenerative properties in knee osteoarthritis. In these studies, researchers suggest that Stem Cell Therapy has the potential to regenerate lost cartilage, stop and reverse cartilage degeneration, provide pain relief, and improve patient mobility.
Shoulder
Stem Cell Therapy as an Alternative to Rotator Cuff & Shoulder Replacement Surgery. Stem cell therapy may offer an excellent alternative for patients looking to avoid shoulder joint replacement surgery, as well as many other surgical treatments for shoulder pain.
Ankle
If you suffer from chronic or acute ankle pain or instability due to arthritis, cartilage loss, ligament strain or tear, or tendon damage, then you may benefit from non-surgical stem cell treatments or stem cell-enhanced surgery.
Back Pain
Patients now have a minimally invasive option. Stem cell therapy for back pain and disc herniations can potentially repair the damaged disc or facet joint, restore function, rehydrate the disc, and ultimately alleviate chronic pain.
Anti-Aging Stem Cell
Hair Loss
Stem cell therapy and PRP therapy have been shown to be most effective for: Those in the early stages of hair loss, patients who are not viable candidates for surgery and women who prefer to avoid hair surgery.
Facial Anti-Aging
Aesthetic Anti-Aging. The Aesthetic Stem Cell Localized Treatment is a non-surgical minimally invasive procedure to enhance the appearance of aging skin and hair restoration. This all-natural technique combines dermal injections of bone marrow or adipose tissue derived stem cells and growth factors.
Fertility Stem Cell
Endometrial PRP
The stem cells used for treatment of a thin endometrium include mesenchymal stem cells. In addition, successful repair of the endometrium in pregnancy with stem cells has been reported previously.
Low Ovarian Reserve (PRP)
The treatment uses PRP (Platelet-Rich-Plasma), which with stem cell therapy is the novel therapeutic approach for restoring the quality of the ovarian reserve.Your PRP will contain a physiologic balance of platelets, growth factors and white blood cells tailored specifically for you.
Punta Mita Hospital
Mexico
Punta Mita Hospital - Genesis Cell
Mexico
